Individual
PHILLIP A GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 W KENT AVE, MISSOULA, MT 59801-6772
(406) 541-3277
(406) 541-3811
Mailing address
PO BOX 4907, MISSOULA, MT 59806-4907
(406) 541-3277
(406) 541-3950
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
8225
MT
Other
Enumeration date
06/27/2006
Last updated
08/28/2024
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